Arthroplasty nuburyo bwo kubaga bwo gusimbuza bimwe cyangwa byose hamwe. Abatanga ubuvuzi nabo babyita kubaga gusimbuza hamwe cyangwa gusimburana hamwe. Umuganga ubaga azakuraho ibice bishaje cyangwa byangiritse byumubiri wawe karemano hanyuma abisimbuze ingingo yubukorikori (prothèse) ikozwe mubyuma, plastike cyangwa ceramic.
I.ls gusimburana hamwe kubaga gukomeye?
Arthroplasty, izwi kandi nko gusimburana hamwe, ni kubaga gukomeye aho hashyizweho ingingo yubukorikori kugirango isimbuze ingingo yangiritse. Prothèse ikozwe mubyuma, ceramic, na plastike. Mubisanzwe, umuganga ubaga amagufwa azasimbuza ingingo zose, zitwa gusimbuza hamwe.
Niba ivi ryangiritse cyane kubera arthrite cyangwa igikomere, birashobora kukugora gukora ibikorwa byoroshye, nko kugenda cyangwa kuzamuka ingazi. Urashobora no gutangira kumva ububabare mugihe wicaye cyangwa uryamye.
Niba ubuvuzi budasanzwe nkimiti no gukoresha ingendo zigenda bitagufasha, urashobora gutekereza kubaga amavi yose. Kubaga gusimburana hamwe nuburyo bwizewe kandi bunoze bwo kugabanya ububabare, gukosora ubumuga bwamaguru, no kugufasha gukomeza ibikorwa bisanzwe.
Kubaga ivi byose byo kubaga ivi byakozwe bwa mbere mu 1968. Kuva icyo gihe, kunoza ibikoresho byo kubaga hamwe nubuhanga byongereye imbaraga cyane. Gusimbuza ivi byose ni bumwe mu buryo bwatsinze ubuvuzi bwose. Nk’uko Ishuri Rikuru ry’Abanyamerika ry’Abaganga babaga amagufwa ribitangaza, buri mwaka muri Amerika hakorwa abasimbura amavi barenga 700.000.
Waba waratangiye gushakisha uburyo bwo kuvura cyangwa umaze gufata icyemezo cyo kubagwa amavi yose, iyi ngingo izagufasha kumva byinshi kuri ubu buryo bw'agaciro.
II.Bifata igihe kingana iki kugirango ukire kubagwa hamwe?
Mubisanzwe bifata hafi umwaka kugirango ukire neza nyuma yo gusimbuza ivi. Ariko ugomba gushobora gusubiramo ibikorwa byawe bisanzwe mubyumweru bitandatu nyuma yo kubagwa. Igihe cyawe cyo gukira kizaterwa nibintu byinshi, harimo ibyawe: Urwego rwibikorwa mbere yo kubagwa
Kugarura igihe gito
Gukira igihe gito bikubiyemo ibyiciro byambere byo gukira, nkubushobozi bwo kuva muburiri bwibitaro no gusohoka mubitaro. Ku munsi wa 1 cyangwa 2, abarwayi benshi basimbuza ivi bahabwa kugenda kugirango babahagarike. Ku munsi wa gatatu nyuma yo kubagwa, abarwayi benshi barashobora gutaha. Gukira igihe gito bikubiyemo no kuva mubica ububabare bukomeye no gusinzira ijoro ryose nta binini. Iyo umurwayi atagikeneye ibikoresho byo kugenda kandi ashobora kuzenguruka inzu nta bubabare - usibye kuba ashobora kuzenguruka ibice bibiri azenguruka inzu nta bubabare cyangwa kuruhuka - ibi byose bifatwa nkibimenyetso byo gukira igihe gito. Impuzandengo yigihe gito cyo gukira kumwanya wose wo gusimbuza ivi ni ibyumweru 12.
Gukira igihe kirekire
Gukira igihe kirekire birimo gukira byuzuye ibikomere byo kubaga hamwe ninyama zoroshye. Iyo umurwayi ashobora gusubira ku kazi n'ibikorwa by'ubuzima bwa buri munsi, aba ari munzira yo kugera ku gihe cyuzuye cyo gukira. Ikindi kimenyetso nigihe umurwayi amaherezo yongeye kumva bisanzwe. Impuzandengo yo gukira igihe kirekire kubarwayi bose basimbuye ivi ni hagati y'amezi 3 na 6. Dr. Ian C. Clarke, umushakashatsi mu by'ubuvuzi akaba ari na we washinze Laboratwari ya Peterson Tribology yo gusimburana hamwe muri kaminuza ya Loma Linda, yaranditse ati: “Abaganga bacu babaga batekereza ko abarwayi 'bakize' igihe ubuzima bwabo bumaze kuba bwiza cyane kuruta urwego rw’ububabare bwa rubagimpande mbere yo kubagwa no kudakora neza.”
Hariho ibintu bitari bike bigira uruhare mugihe cyo gukira. Josephine Fox, Umuyobozi wa BoneSmart.org asimbuye ivi Umuyobozi mukuru akaba n'umuforomokazi umaze imyaka irenga mirongo itanu, avuga ko imyifatire myiza ari byose. Abarwayi bagomba kwitegura gukorana umwete, ububabare bumwe no gutegereza ko ejo hazaza hazaba heza. Kugira amakuru kubijyanye no kubaga ivi no kubaga umuyoboro ukomeye nabyo ni ngombwa kugirango ukire. Josephine yaranditse ati: "Ibibazo byinshi bito cyangwa binini bikura mugihe cyo gukira, kuva ku kibabi cyegereye igikomere kugeza ku bubabare butunguranye kandi budasanzwe. Muri ibi bihe, ni byiza kugira umuyoboro wifashisha uhindukirira kandi ukabona ibitekerezo ku gihe. Umuntu uri hanze ashobora kuba yarahuye n'ibisa cyangwa bisa kandi 'umuhanga' azagira ijambo."
III.Ni ubuhe buryo bukunze kubagwa gusimburana hamwe?
Niba ufite ububabare bukabije bwingingo cyangwa gukomera - Kubaga Byose hamwe Kubagwa birashobora kukubera. Amavi, ikibuno, amaguru, ibitugu, intoki, n'inkokora byose birashobora gusimburwa. Ariko, gusimbuza ikibuno n'amavi bifatwa nkibisanzwe.
Gusimbuza Disiki Yakozwe
Abagera kuri umunani ku ijana by'abakuze bafite uburambe cyangwaububabare bw'umugongo budakiraibyo bigabanya ubushobozi bwabo bwo gukora ibikorwa bya buri munsi. Gusimbuza disiki yubukorikori akenshi ni amahitamo kubarwayi barwaye indwara yo mu mutwe (DDD) cyangwa disiki yangiritse cyane itera ubwo bubabare. Mu kubaga insimburangingo ya disiki, disiki yangiritse isimbuzwa iyakozwe kugirango igabanye ububabare kandi ikomeze urutirigongo. Mubisanzwe, bikozwe mubyuma byo hanze hamwe na plastike yo murwego rwo hejuru.
Ubu ni bumwe mu buryo butandukanye bwo kubaga abantu bafite ibibazo bikomeye by'umugongo. Uburyo bushya ugereranije, gusimbuza disikuru birashobora kuba ubundi buryo bwo kubaga fusion kandi bikunze gutekerezwa mugihe imiti nubuvuzi bwumubiri butakoze.
Kubaga Ikibuno
Niba ufite uburibwe bukabije bwibibero kandi uburyo bwo kubaga butagenze neza mugucunga ibimenyetso byawe, urashobora kuba umukandida wo kubaga ikibuno. Ikibuno cyibibuno gisa numupira-na-sock, muburyo impera yizengurutswe yamagufwa imwe yicaye mumwobo wundi, bigatuma habaho kuzunguruka. Osteoarthritis, rubagimpande ya rubagimpande, hamwe no gukomeretsa gitunguranye cyangwa kubisubiramo byose nibisanzwe bitera ububabare buhoraho bushobora kuvaho gusa kubagwa.
A.gusimbuza ikibuno(“Hip arthroplasty”) ikubiyemo gusimbuza femur (umutwe wibibero) na acetabulum (hip sock). Mubisanzwe, umupira wububiko nigiti bikozwe mubyuma bikomeye hamwe na sock ya artile ya polyethylene - plastiki iramba, idashobora kwihanganira kwambara. Iki gikorwa gisaba umuganga kubaga ikibuno no gukuraho umutwe wumugore wangiritse, awusimbuza uruti rwicyuma.
Kubaga Amavi
Ifi y'amavi ni nka hinge ituma ukuguru kugorama no kugorora. Rimwe na rimwe abarwayi bahitamo gusimbuza ivi nyuma yo kwangirika cyane na rubagimpande cyangwa igikomere ku buryo badashobora gukora ingendo shingiro nko kugenda no kwicara. Muriubu bwoko bwo kubaga, ingingo ihimbano igizwe nicyuma na polyethylene ikoreshwa mugusimbuza iyarwaye. Prothèse irashobora gushirwa mumwanya hamwe na sima yamagufa cyangwa igapfundikirwa nibikoresho bigezweho bituma ingirangingo zamagufa zikura muri yo.
UwitekaIvuriro rusangemuri MidAmerica Orthopedics kabuhariwe muri ubu bwoko bwo kubaga. Itsinda ryemeza ko intambwe nyinshi zibaho mbere yuko inzira nkiyi ibaho. Inzobere mu ivi izabanza gukora isuzuma ryuzuye ririmo gusuzuma imitsi y'amavi ukoresheje kwisuzumisha bitandukanye. Kimwe nubundi buryo bwo kubaga gusimburana hamwe, umurwayi na muganga bagomba kuba bemeranya ko ubu buryo aribwo buryo bwiza bwo kugarura imikorere yivi ishoboka.
Kubaga ibitugu
Kimwe n'ikibuno, agusimbuza ibitugubirimo umupira-na-sock hamwe. Igitugu cyibihimbano gishobora kugira ibice bibiri cyangwa bitatu. Ibi ni ukubera ko hari uburyo butandukanye bwo gusimbuza ibitugu, bitewe nigice cyigitugu gikeneye gukizwa:
1.Icyuma cya humeral cyatewe muri nyababyeyi (igufwa riri hagati yigitugu cyawe ninkokora).
2.Icyuma cyumutwe wicyuma gisimbuza umutwe wigitereko hejuru yigitereko.
3.Igikoresho cya plastiki glenoid gisimbuza ubuso bwa glenoid sock.
Uburyo bwo gusimbuza bukunda kugarura imikorere ihuriweho no kugabanya ububabare mubenshi mubarwayi. Mugihe ubuzima buteganijwe bwo gusimburana bisanzwe biragoye kubigereranya, ntabwo bugarukira, ariko. Bamwe mu barwayi barashobora kungukirwa niterambere rihoraho ryongera ubuzima bwa prostate.
Ntamuntu numwe ukwiye kumva yihutiye gufata icyemezo gikomeye cyubuvuzi nko kubaga hamwe. Abaganga batsindiye ibihembo ninzobere zo gusimburana hamwe muri MidAmericaIvuriro rusangeIrashobora kukumenyesha kubyerekeye uburyo butandukanye bwo kuvura ushobora kubona.Mudusure kumurongocyangwa uhamagare (708) 237-7200 kugirango usabe gahunda numwe mubahanga bacu kugirango utangire mumuhanda wawe ugana mubuzima bukora, butarimo ububabare.
VI. Bifata igihe kingana iki kugirango ugende bisanzwe nyuma yo gusimbuza ivi?
Abarwayi benshi barashobora gutangira kugenda bakiri mubitaro. Kugenda bifasha gutanga intungamubiri zingenzi kumavi yawe kugirango igufashe gukira no gukira. Urashobora kwitega gukoresha urugendo rwicyumweru cya mbere. Abarwayi benshi barashobora kugenda bonyine hafi ibyumweru bine cyangwa umunani nyuma yo gusimbuza ivi.
Igihe cyo kohereza: Ugushyingo-08-2024
